Braun Jan-Peter, Bause Hanswerner, Bloos Frank, Geldner Götz, Kastrup Marc, Kuhlen Ralf, Markewitz Andreas, Martin Jörg, Mende Hendrik, Quintel Michael, Steinmeier-Bauer Klaus, Waydhas Christian, Spies Claudia
Dept. of Anaesthesiology and Surgical Intensive Care Medicine, Charité - University Medicine Berlin, Germany.
Ger Med Sci. 2010 Oct 8;8:Doc23. doi: 10.3205/000112.
Critical care medicine frequently involves decisions and measures that may result in significant consequences for patients. In particular, mistakes may directly or indirectly derive from daily routine processes. In addition, consequences may result from the broader pharmaceutical and technological treatment options, which frequently involve multidimensional aspects. The increasing complexity of pharmaceutical and technological properties must be monitored and taken into account. Besides the presence of various disciplines involved, the provision of 24-hour care requires multiple handovers of significant information each day. Immediate expert action that is well coordinated is just as important as a professional handling of medicine's limitations.Intensivists are increasingly facing professional quality management within the ICU (Intensive Care Unit). This article depicts a practical and effective approach to this complex topic and describes external evaluation of critical care according to peer reviewing processes, which have been successfully implemented in Germany and are likely to gain in significance.
重症医学经常涉及可能给患者带来重大后果的决策和措施。特别是，错误可能直接或间接地源于日常流程。此外，后果可能来自更广泛的药物和技术治疗选择，这些选择通常涉及多方面。必须监测并考虑到药物和技术特性日益增加的复杂性。除了涉及多个学科外，提供24小时护理每天需要多次交接重要信息。协调良好的即时专家行动与专业处理医学局限性同样重要。重症监护医生在重症监护病房（ICU）内越来越多地面临专业质量管理。本文描述了针对这一复杂主题的实用有效方法，并介绍了根据同行评审流程对重症护理进行的外部评估，该流程已在德国成功实施且可能会变得更加重要。
